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Transcript
Cardiac-specific overexpression of fibroblast growth factor-2 (FGF2) protects against myocardial dysfunction and infarction in a murine model of low-flow ischemia Stacey L. House, Craig Bolte, Ming Zhou, Thomas Doetschman, Raisa Klevitsky, Gilbert Newman, Jo El J. Schultz Online Text Supplement to Methods Generation of mice: A. Generation of Fgf2-deficient (KO) mice: Generation of Fgf2 KO mice, maintained on a mixed background of 50% 129 and 50% Black Swiss, has been previously described1. B. Generation of mice with a cardiac-specific overexpression of FGF2 (Tg): The hFGF2 cDNA encoding the four human FGF2 isoforms (provided by R. Florkiewicz) was ligated to the 3’ end of the mouse -myosin heavy chain promoter (a gift from J. Robbins). An SV40 t-intron and polyadenylation sequence were ligated downstream of the hFGF2 cDNA. The resulting chimeric gene was released from the parental plasmid by Sac I and Kpn I digestion and injected into the pronuclei of FVB/N strain fertilized mouse oocytes by the Transgenic Mouse Facility of the University of Cincinnati. Founder mice harboring the transgene were identified by PCR and confirmed by Southern blot analysis. Founder mice were bred to wildtype FVB/N mice to obtain germline 1 transmission. Transgenic mice were bred to wildtype FVB/N mice to maintain the transgenic lines (MHC20 and MHC25). Isolated Work-performing Heart Preparation: In brief, the heart was quickly removed from the thoracic cavity and placed in a separate preparatory tissue bath of warm (37oC), oxygenated Krebs solution. The aorta was cannulated with a 20-gauge stainless steel cannula, preserving the aortic valve and coronary artery ostia. Retrograde perfusion with 37.7ºC Krebs-Henseleit solution was started immediately (Langendorff mode), at a hydrostatic pressure of 60 mmHg. A PE-50 catheter was inserted into the left atrium through the pulmonary vein, advanced past the mitral valve into the left ventricle and forced through the ventricular apex. After the placement of the LV catheter, the pulmonary vein cannula was tied into the pulmonary vein opening of the left atrium, while carefully preserving the atrium and atrial septum. Flow was then switched from retrograde to anterograde mode (work-performing heart preparation), thus terminating the Langendorff perfusion. Flow through the left atrial cannula was adjusted via a micrometer to a level that maintains pressure inside the atrium at 6-8 mmHg (venous return = 5 mL/min) and vascular resistance was adjusted to maintain aortic pressure at 50 mmHg, resulting in a basal cardiac minute work of 250 mL/min*mmHg. A small cut in the pulmonary artery proximal to the outflow tract allowed for sampling of the coronary sinus effluent with a capillary tube to determine oxygen consumption by the heart. Coronary arterial perfusion buffer and venous effluent samples were collected 2 anaerobically, and the PO2 and PCO2 values of these samples were measured using an automated blood gas analyzer (model 248, Ciba Corning Diagnostics Corp). Oxygen consumption (MVO2) by the perfused hearts was computed by multiplying the coronary flow by the arteriovenous difference in oxygen content and normalized per gram of tissue mass as follows: MVO2 (L O2.min-1.g-1)=(PaO2-PvO2).Coronary Flow (mL/min).(C/760) Heart Wet Weight (g) . 1000 where PaO2 and PvO2 represent the perfusate and venous partial pressure of O2 (mmHg), respectively, and C=0.0239 (Bunsen solubility coefficient of oxygen dissolved in perfusate at 37°C, in milliliters of O2 per atmosphere per milliliter of perfusate). Pacing of the heart was accomplished through electrodes connected to the aortic and pulmonary vein cannulas. Aortic pressure, left intraventricular pressure and left atrial pressure were measured and recorded via COBE pressure transducers and a custom-made data acquisition system along with a Grass polygraph. Time to peak pressure (TPP) was calculated as the time from left ventricular end-diastolic pressure to systolic pressure. ½ Relaxation time (½ RT) was calculated as the time from left ventricular systolic pressure to ½ diastolic pressure. TPP and ½ RT were normalized to contractility and relaxation, respectively. Vascular Bed Staining: Vascular density levels were determined on non-ischemic Wt, Fgf2 KO, and FGF2 Tg hearts (4 hearts per group, 10-12 weeks of age). Paraffin- 3 embedded heart sections were unmasked by digestion with pepsin (DAKO Corporation, Carpinteria, CA) for 10 minutes at 37°C and permeabilized by incubation in 3% hydrogen peroxide for 5 minutes. Primary antibodies raised against -smooth muscle actin (rabbit polyclonal, 1:400 dilution, Sigma, St. Louis, MO) and vonWillebrand’s factor (mouse monoclonal, 1:100 dilution, DAKO Corporation, Carpinteria, CA) were utilized to stain vascular smooth muscle cells and endothelial cells, respectively. Biotinylated secondary antibodies to rabbit and mouse IgG (1:200 dilution, Vector Laboratories, Burlingame, CA) were then applied to heart sections. Immunostaining was visualized utilizing the Vectastain ABC reagent kit (Vector Laboratories, Burlingame, CA) and DAB reagent kit (Vector Laboratories, Burlingame, CA). Sections were counterstained with hematoxylin. To assess the level of smooth muscle-containing blood vessels (i.e., arteries, veins, arterioles, and venules), sixty-four fields (four fields from each of sixteen sections) from each -smooth muscle actin-stained mouse heart were counted at a magnification of 20X (1.1mm2 field). Quantitation of capillary levels (von Willebrand’s factor staining) was performed by counting 80 fields (five fields from each of sixteen sections) from each mouse heart at a magnification of 150X (0.06mm2 field). Determination of FGF2 Release: Coronary effluent was collected from Wt, Fgf2 KO, and Fgf2 Tg hearts every 2 minutes for the last ten minutes of baseline, for the first 30 minutes and 4 last 15 minutes of ischemia (60 min ischemia/120 min reperfusion protocol), during the increase in flow (from 2 mL/min to 4 mL/min), and every 2 minutes for the first 16 minutes and last 10 minutes of reperfusion (60 min ischemia/120 min reperfusion protocol, see Figure 1). Quantitative determination of FGF2 release at various time points of baseline, ischemia, and reperfusion was assessed by ELISA according to the Quantikine human FGF basic immunoassay procedure (R&D Systems). FGF2 concentration (pg/mL) in perfusates was normalized for coronary flow rate and heart weight (pg/min/g heart wt). Western blots to detect level of FGF2: Non-ischemic Wt, Fgf2 KO, and FGF2 Tg hearts (4 hearts per group, 1012 weeks of age) were homogenized in 2 mL protein extraction buffer (20mM Tris, 2mM EDTA, 2M NaCl, 1% NP40). Extraction of FGF2 via heparin sepharose beads was performed on 2 mg of total protein from each heart. The NaCl concentration of the protein samples was adjusted to 0.4M by diluting samples in 1X TE, and then 100L of a 75% heparin sepharose bead slurry (Amersham Pharmacia Biotech, Buckinghamshire, England) was quickly added to each sample. Following a one hour incubation at 4°C, the heparin sepharose beads were pelleted and washed three times with buffer containing 0.6M NaCl and 10mM Tris-HCl ph 7.4. 15L of 10X protein sample buffer was added to the beads and boiled for 10 minutes. The entire protein sample was then loaded on a 15% SDS-PAGE gel and transferred to nitrocellulose. Blots were incubated with rabbit polyclonal primary antibody to FGF2 (1:1000 dilution, Santa Cruz 5 Biotechnology, Santa Cruz, CA) and then HRP-conjugated anti-rabbit IgG secondary antibodies (1:5000 dilution, Santa Cruz Biotechnology, Santa Cruz, CA). Results were visualized using an ECL kit (Amersham Pharmacia Biotech, Buckinghamshire, England). Statistical Analysis: All values are expressed as mean±SEM. Percent functional recovery, coronary flow, vascular density, and myocardial infarct size were compared using a oneway ANOVA followed by a Student’s t-test. Differences between functional data, myocardial oxygen consumption values, and FGF2 release at various time points were compared using two-way ANOVA for time and treatment with repeated measures with Fisher’s least significant difference post-hoc test. Regression analysis was performed to compared coronary flow with +dP/dt or infarct size. Statistical differences were considered significant when p<0.05. REFERENCE 1. Zhou M, Sutliff RL, Paul RJ, Lorenz JN, Hoying JB, Haudenschild CC, Yin M, Coffin JD, Kong L, Kranias EG, Luo W, Boivin GP, Duffy JJ, Pawlowski SA, Doetschman T. Fibroblast growth factor 2 control of vascular tone. Nat Med. 1998;4:201-7. 6